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SOLACE BEHAVIORAL HEALTH, LLC - Florida Company Profile

Company Details

Entity Name: SOLACE BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

SOLACE BEHAVIORAL HEALTH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 13 Jan 2012 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 29 Jun 2018 (7 years ago)
Document Number: L12000006682
FEI/EIN Number 45-4276141

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 19103 AVENUE BAYONNES, LUTZ, FL, 33558, US
Address: 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653, US
ZIP code: 34653
County: Pasco
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023609740 2021-01-27 2024-01-26 4800 ROWAN RD, NEW PORT RICHEY, FL, 346535609, US 4800 ROWAN RD, NEW PORT RICHEY, FL, 346535609, US

Contacts

Phone +1 727-483-5912
Fax 7273763652

Authorized person

Name PAIGE GRAY
Role CREDENTIALING SPECIALIST
Phone 3526785550

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2023 454276141 2024-07-09 SOLACE BEHAVIORAL HEALTH LLC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 7274956979
Plan sponsor’s address 17222 HOSPITAL BLVD, SUITE 120, BROOKSVILLE, FL, 34601

Signature of

Role Plan administrator
Date 2024-07-09
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 454276141 2023-07-10 SOLACE BEHAVIORAL HEALTH LLC 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 7274956979
Plan sponsor’s address 17222 HOSPITAL BLVD, SUITE 226, BROOKSVILLE, FL, 34601

Signature of

Role Plan administrator
Date 2023-07-10
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 454276141 2022-07-12 SOLACE BEHAVIORAL HEALTH LLC 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 8139660177
Plan sponsor’s address 17222 HOSPITAL BLVD, SUITE 226, BROOKSVILLE, FL, 34601

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 454276141 2021-07-12 SOLACE BEHAVIORAL HEALTH LLC 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 3526785550
Plan sponsor’s address 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2021-07-12
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 454276141 2020-07-13 SOLACE BEHAVIORAL HEALTH LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 621330
Sponsor’s telephone number 3526785550
Plan sponsor’s address 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2020-07-13
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH LLC 401 K PROFIT SHARING PLAN TRUST 2018 454276141 2019-10-10 SOLACE BEHAVIORAL HEALTH LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621330
Sponsor’s telephone number 3526785550
Plan sponsor’s address 4800 ROWAN ROAD, NEW PORT RICHEY, FL, 34653

Signature of

Role Plan administrator
Date 2019-10-10
Name of individual signing KRUTIKA PATEL
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH 401K PLAN 2017 454276141 2018-07-26 SOLACE BEHAVIORAL HEALTH 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621112
Sponsor’s telephone number 3526785550
Plan sponsor’s address 17222 HOSPITAL BLVD., SUITE 116, BROOKSVILLE, FL, 34601

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing TANVEER A CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing JUDITH S CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
SOLACE BEHAVIORAL HEALTH 401K PLAN 2016 454276141 2017-07-31 SOLACE BEHAVIORAL HEALTH 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-10-01
Business code 621112
Sponsor’s telephone number 3526785550
Plan sponsor’s address 17222 HOSPITAL BLVD., SUITE 116, BROOKSVILLE, FL, 34601

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing TANVEER A CHAUDHRY
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing JUDITH S CHAUDHRY
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
CHAUDHRY TANVEER AM.D. Manager 4424 Tuner Bend, LAND O'LAKES, FL, 34638
CHAUDHRY JUDITH SARNP Secretary 4424 Tuner Bend, Land O Lakes, FL, 34638
Chaudhry Judith S Agent 4424 Tuner Bend, Land O lakes, FL, 34638

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000027096 SOLACE HEALTHCARE ACTIVE 2021-02-25 2026-12-31 - 17222 HOSPITAL BLVD., SUITE 222, BROOKSVILLE, FL, 34601

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-09 4800 ROWAN ROAD, NEW PORT RICHEY, FL 34653 -
CHANGE OF MAILING ADDRESS 2024-04-09 4800 ROWAN ROAD, NEW PORT RICHEY, FL 34653 -
REGISTERED AGENT ADDRESS CHANGED 2023-01-23 4424 Tuner Bend, Land O lakes, FL 34638 -
REGISTERED AGENT NAME CHANGED 2023-01-23 Chaudhry, Judith S -
LC AMENDMENT 2018-06-29 - -
LC AMENDMENT 2017-10-10 - -
LC AMENDED AND RESTATED ARTICLES 2017-03-16 - -
REINSTATEMENT 2016-11-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -

Documents

Name Date
ANNUAL REPORT 2024-04-09
AMENDED ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2023-01-23
ANNUAL REPORT 2022-02-23
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-02-06
ANNUAL REPORT 2019-04-30
LC Amendment 2018-06-29
AMENDED ANNUAL REPORT 2018-04-10
AMENDED ANNUAL REPORT 2018-04-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5550957103 2020-04-13 0491 PPP 17222 Hospital Blvd Suite 222, BROOKSVILLE, FL, 34601-8906
Loan Status Date 2021-08-10
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 530700
Loan Approval Amount (current) 530700
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI Y
Business Age Description Existing or more than 2 years old
Project Address BROOKSVILLE, HERNANDO, FL, 34601-8906
Project Congressional District FL-12
Number of Employees 63
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 537344.65
Forgiveness Paid Date 2021-07-26

Date of last update: 01 Apr 2025

Sources: Florida Department of State